Vinay Class Assignment 02

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SUSTAINABLE ARCHITECTURE

ASSIGNMENT
ON

Design approach for infection control by Architect

SUBMITTED BY: VINAY RANA


SUBMITTED TO: AR. VIKAS NAUTIYAL
Modern hospital design for infection control

In the past, hospital design focused on low cost per square foot or the
incorporation of new technology, and was based on models of nursing care
derived from industrial settings where the transmission of infection was not a
consideration. For example, placing two or more patients close to each other
would seem to be more efficient for nursing care, as this would require that
nurses take fewer steps between patients and would minimize square-footage
requirements. In this model, the patient was considered to be like a product
requiring assembly by the staff.
Newer design models incorporate the patient's perspective and are based on
medical-outcome evidence, patient satisfaction, and patient safety. One of the
most important shifts in hospital design in the past few years has been to design
patient-care spaces for infection control.
Treatment of patient infections comprises a significant percentage of the
operational costs of any hospital. Many patients are admitted with infections or
with diseases that make them more susceptible to infection, and without proper
infection control, infections can spread among patients and staff. Standard
hospital-cleaning procedures1 and standards for air and water systems2 have
reduced the risk of infection from the hospital environment; hence, very few
hospital-acquired infections come from the building's air or water. Today, the
primary source of hospital-spread infections is personnel who move from patient
to patient, often carrying medical devices and equipment. Modern hospitals
should be designed to reduce this risk of transfer of infection by personnel.
An important factor in the transmission of infection is proximity, and one of the
most effective ways to reduce the risk of transmission is to increase the functional
distance between patients. Open ward or semiprivate room designs make it more
likely that infections can be spread among patients and staff. The private room
design makes the spread of infection less likely because patients and visitors do
not share space and equipment with other patients.
Patients carry microorganisms on their bodies, and patients with infections can
shed increased numbers of infection-causing microorganisms. The items
surrounding the patient (bed, furniture, equipment, etc.) become contaminated
with the patient's microorganisms after he or she spends more than a few hours
in his or her room. The most common way infections are spread is by staff
members touching a patient or contaminated piece of equipment with their
hands, then touching another patient without washing their hands. Hand hygiene
is the single most important way to prevent hospital infections, and the current
Centers for Disease Control and Prevention hand-hygiene guidelines3 clearly
mandate that all healthcare personnel decontaminate their hands as they enter a
patient's room and as they leave the room. Locating a dedicated hand-washing
sink, preferably with hands-free operation, near the door of each patient room
makes staff hand hygiene easier and contributes to a safer environment for
patients, staff, and visitors.

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